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5 Hurdles Physician Credentialing Experts Can Help You Avoid

Credentialing specialists and those working to validate doctors in healthcare setups have a huge responsibility on their shoulders to come through as trustworthy partners. Because, if they fall short of certain requirements, not only does it jeopardizes their position but puts physicians’ career at risk as well.

Medical credentialing is the process of validating and revalidating physicians to be part of a professional healthcare network. Doctors go through re-attestation and revalidation by the help of credentialing experts after they carry it to good effect. P3’s credentialing services make use of rules in favor of physicians so they aren’t penalized in any way.

Overcome the following hurdles with the help of physician credentialing experts.

  1. The Critical Stage of Physician Verification

A new provider who is about to join a hospital needs 60 to 90 days to be fully verified. Once physician credentialing experts give the green signal, the providers start to see the patients. As the process involves microscopic verification related to education, work, past cases, and medical license, a tiny mistake can undermine the process further.

  1. Furnish Peer References on Time

When you have P3 as your medical credentialing service, tenacity to complete the process comes by default. Due to physician’s busy schedule, it is hard to find time for such matters. Don’t think twice when it comes to hiring trained HIT consultants for credentialing. It makes the job at hand, easier.

Peer references are part of the process but finding spare time to address to them and for peers to respond accordingly is the real issue. Don’t fret, because P3 Healthcare Solutions, Ontario, CA has got you covered. We assist you in health IT and credentialing is not any different.

  1. Address Physician Credentialing from Time to Time

The process is not a one-time effort, but a continuous one. For instance, clinicians in ambulatory surgical centers require reevaluation every 1 to 3 years. Constant work is required of their profiles to stay updated.

Since physicians have different portfolio renewal dates, the ASCs have a hard time keeping up with them. Therefore, we, as credentialing specialists, offer healthcare providers the best of solutions. Subscribe to our annual plan at this number 1-844-557-3227 and get rid of the stress forever.

  1. Unified Approach for Patient Health Plans

With the inclusion of the state exchange and federal health plans, credentialing undergoes another knot of complexity. Physician practices, to stay current and updated, have to take up plans of their patients into consideration. There has to be a certain balance between the number of patients visiting practice and revenue generated as a result.

  1. Enrollment with Patient’s Exchange Plan

Due to several stages in the process, the right tactics need to be in place. Otherwise, physicians will experience a delay in payments. For instance, as medical credentialing experts, we make sure physicians enroll with the exchange plan of their patients. As a result, they are paid for rendering services.

Third-party medical credentialing services simplify the process of enrollment and credentialing. Sometimes when trust takes the backseat, it is difficult to rely on outsourcing companies. RCM process improvement comes as an additional perk with P3 as an emerging medical billing service according to a survey by Clutch.co. Discover your true potential to cross the maximum revenue benchmark as we don’t settle for anything less.

About P3 Healthcare Solutions, Ontario, CA:

We are a medical billing company that works for providers while they work for patients. The end-to-end revenue cycle management process activates the true potential of practices. It is an effort to generate for you and utilize the boundaries of the healthcare system in the best interest of physicians and their patients. In the end, every practice deserves high revenue and reduced losses.

Contact Us

P3 Healthcare Solutions, Inc.

Phone – +1 844 557 3227

Get in touch on email – info@p3care.com

Follow us on LinkedIn – https://www.linkedin.com/company/p3-healthcare-solutions

Healthcare Demands Skilled Workforce besides Modern Setups

We pass through time in need of smart additions in healthcare to manage the developing requirements. Yes, the environment goes from quantity-driven to quality-driven giving rise to the need for a dynamic workforce. Technology being the major driving factor affects the industry as we speak. The difference between demand and supply creates a vacuum, and to fill up that space, we must look for people with matching skills.

What kind of workforce are we talking about? Whether they are nurses, physicians, HIT consultants, medical billing services, RCM, medical billing and coding consultants, data scientists, case organizers, credentialing and enrollment specialists, hospitals both large and small face many obstacles to find the right people for the right roles.

P3 Healthcare Solutions, Ontario, CA follows an idea to seek excellence in everything it does. It is not a one-time heroism but a constant struggle to maintain a steady workflow.

Is Your Healthcare Practice Ready for Workforce Challenges?

When we say challenges, we are not kidding. The threat is very real.

We require more technology experts who know their way around tools, websites, rules, reporting, and compliance standards. CMS comes up with new and updated rules under which healthcare practices may be incentivized or penalized.

Furthermore, MIPS 2019 is the current face of value-based care. To select appropriate measures and report them to CMS, the system demands skilled IT professionals.

Not only that, but the growing aging population is a persisting problem, we have to be ready for. It directly relates to the need for more doctors and nurses. Cybersecurity, on the other hand, isn’t less of a concern in an era of software and the Internet. As healthcare warriors, we must position ourselves and learn modern ways to tackle intruders and viruses.

What Does The 2019 HIMSS Survey Suggest?

The latest 2019 HIMSS U.S. Leadership and Workforce Survey covered 232 health information and technology experts from acute and ambulatory providers across the country. The purpose was to know about the hurdles in their way and the organizational steps they want to take to answer them.

The report also confirms the diverse nature of opinions of hospitals and non-acute facilities when it comes to health information technology, medical billing services and workers in general.

For instance, inpatient setups view the hiring of C-suite executives as a priority. They can steer strategic goals in a meaningful direction.

Another comparison between hospitals and practices monitors the role of rank-and-file employees. The opportunity level differs from one another – the larger inpatient sites offer extensive work opportunities whereas non-acute physicians have a static workforce requirement, according to HIMSS. A staffing strategy hugely depends on IT factors among others.

Healthcare vs. Current Challenges

Admittedly, the challenges at hand pose a threat equal to a disaster waiting to happen. We can only deal with them if we have the right workforce. We can make use of the skilled workforce under –

  • Cybersecurity, privacy, and data security
  • Health information and tech to improve patient-centered outcomes
  • Clinical engagement and clinical data management
  • Care coordination
  • Process improvement, workflow, and administration
  • Business intelligence
  • Leadership
  • Health information exchange and promoting interoperability (PI)

Staffing poses as big a challenge to providers as the implementation of a new law to federal agencies. They feel the negative impacts of it day after day.

Increase in Labor Force Spend

Expect to listen to ‘You’re Hired’ in the upcoming times. It will increase the spending on labor force required to run a hospital. AI, digital health, the use of CEHRT, Telehealth and medical billing outsourcing can raise your chances to cut down costs.

Your passion may be bigger than your job, but with the growing population and quality metrics taking over, it is easy to predict skilled workforce to be one of the crucial aspects of healthcare in the future. To be able to run a facility to full effect, the inevitable support of HIT consultants and medical billing company matter now more than ever. To get the latest medical billing and coding advice, follow us on LinkedIn – https://www.linkedin.com/company/p3-healthcare-solutions

Do you face any challenges in terms of practice administration, revenue generation and compliance?

4 Tips to Improve Patients’ Payments via P3Care, Ontario, CA

Medical billing companies have the responsibility to make physicians’ survival easy by collecting reimbursements. Insurance plans are of many types, and in case of private healthcare plan; patients are required to pay deductibles from their pockets.

The healthcare expenses in the U.S have already reached a limit; where even a middle-class patient finds it difficult to clear off his bills. Therefore, getting deductibles and co-payments from patients prove to be a hectic job for medical billing services.

Apart from the strict rules of insurance companies, medical billing companies have a hard time collecting patients payments. Then, how can they ease their burden and reduce accounts receivable (AR)?

It might seem like an impossible job, but via 4 simple tricks that P3Care has learned over the years, medical billers can achieve success in this regards.

  1. Medical Billing Companies Should Allow Multi Channels Payment Methods

Suppose you and your friend have to pay some bills, it is not necessary that you both will pay through the same method. Maybe you like paying cash and your friend might like to pay via credit card.

According to research, customers make payments based on the fact that what is convenient for them. Same is the case with patients. When there are multiple payment methods, patients can opt for the most suitable method. Medical billing companies should encourage clinicians to have a flexible payment method. Otherwise, hospitals would be missing out some major revenue.

The Omni channel approach of payment model doesn’t restrict patients with minimum access to choices. It will also have a positive impact on the patients’ satisfaction level.

  1. Adopt Automated Payment Method

Automated payment refers to paying bills on a predetermined date. This payment method ensures secure and confirmed payment by the patient. As the patient already knows about the scheduled payment, medical billing companies thereby, need lesser staff for payment collection.

Generally, via this method, patients make payments on time, especially the ones with high deductibles. Moreover, the billing staff can reduce unnecessary expenditure. For Instance, on paper files.  Automated bills also help to reduce the efforts for follow-up services.  The front desk of medical billing companies doesn’t have to go after each patient for payment. They only have to decide upon a specific date, and the process goes by easily, other than in exceptional cases.

P3 Healthcare Solutions being among the best medical billing companies in Ontario, CA recommends that medical billers should inform about the total payment while deciding upon the payment plan to the patient, rather than asking for a fee each month.

Visit: https://www.linkedin.com/company/p3-healthcare-solutions for the latest knowledge of healthcare and medical billing.

  1. Educate Patients about their Payment Responsibilities

Medical billing services should be clear about one thing; you can’t expect patients to pay deductible and co-payments at once, particularly, if they’re in significant numbers. Nobody likes such surprises. Therefore, a better approach is to educate patients in the early stages of their financial responsibilities.

It is also proven from research that around 91% of patients like to know the complete payment model prior to the visit. Clinicians in association with the medical billing service should map out every payment detail in front of the patients. Only this way, physicians will manage to increase revenue for themselves.

It also brings forward a good reputation of the physicians and makes patients trust more on the medical practice.

  1. Ensure HIPAA-Compliance in Payment Model

Patients’ data security is everything. However, healthcare data is always at risk. We have seen many scenarios where data breaches lead to huge revenue losses. While creating medical claims and collecting payments from patients, medical billing staff works with sensitive information, be it, credit card information and healthcare records.

Taking exclusive measures to protect the misuse of data requires the allocation of dedicated resources, which some companies might not be interested in. However, this step can’t be neglected. Besides streamlining other billing operations, patients’ data security also adds to revenue increment.

Moreover, designing a comprehensive security plan as per the Payment Card Industry (PCI) standards don’t necessarily require a huge investment.

P3Care is one of the renowned names in the medical billing world.  We have worked for several years in this industry and increased revenue for many clients. By implementing above-mentioned tactics, we have managed to generate fruitful results. Hopefully, it’ll result in the best possible way for minnows of the billing industry.

5 Things Every Medical Billing Company in Ontario, CA Needs to Do!

If you own a medical practice or work in a hospital, you might have hired a medical billing company for claims submission. Whether you are a reliable medical billing company in Ontario, CA or not, the discussion today is important in the general sense.

If the respective medical billing service is an established one, there’s a 100% chance that it would have overcome all the loopholes in its medical billing process. If not, you should be a little careful while hiring medical billing services.

It is observed that up to 20% of medical claims are denied due to poor medical billing practices. As a medical billing company, you surely don’t want to have a bad reputation in the healthcare industry. So, given below are few tips that you might want to follow. It will help you work better in favor of clinicians.

  1. Focus on Training Medical Billing Staff

If your medical billing agency recruits medical billers and coders, who have little or no experience in the respective field. You should immediately do something to train your staff because it might be causing major revenue loss for physicians.

Without the proper knowledge, medical coders are unable to choose correct codes for the diagnosis. It is possible that they might be using the wrong modifiers for treatments.

Medical billing services should properly train employees as per the CMS guidelines to create and submit medical claims. So, there remains no chance of error.

  1. Tighten Up Your Follow –Up Services

Medical billing services need to interact with patients and physicians simultaneously while creating medical claims. It is a lot of work. Reporting accurate diagnostic and surgical procedures along with double-checking them takes a lot of time. Moreover, they also get faxes and emails every day in bulks.

When there is so much to do, things can pile up. However, despite a busy schedule, it is compulsory to keep a check on the submitted medical claims. Know about the claims’ status that either they are in process or have been denied. It has a crucial impact on revenue cycle management. Also, the follow-up services are time-specific, meaning, you can resubmit denied claims within a specified time. Otherwise, they get lost in the piles of papers.

Thus, professional medical billing companies never look down on the follow-up services.

  1. Keep Check on the Accounts Receivable (AR)

Some of you may not consider this point significant. But, it indeed plays an important part in the revenue generation.

Patients and even insurance companies generally don’t keep a check on the payments. However, medical billing companies should verify if a bill is fully paid or not. The unpaid reimbursements can take your revenue journey down.

If a bill is unpaid, you can always go for follow up services until accounts receivable are paid.

  1. The Filing Time Plays an Important Role in Revenue Generation

There’s a time limit for submitting claims to insurance companies. If a medical billing practice exceeds that time period, the claim will not add up in the revenue.

Even, you submit a claim within the time limit, there’s a chance that it might be rejected. Then, why take risk submitting it after time.

  1. Improve the Denial Management System

The percentage of denied medical claims is rising day by day due to strict rules of payers and governmental authorities.

Therefore, the medical billing and coding staff should be up-to-date with the latest news and criteria. Instead of ranting over denied claims, medical billing services should rectify errors and resubmit claims within time. An even better option is that the medical billing and coding process should be so transparent and precise to crash the chances of denied claims.

An experienced medical billing company straightens its billing process to maximize physicians’ revenue. P3 Healthcare Solutions is such a company that ensures high-quality medical billing for its clients.

Tell us if you think, above-mentioned tips can help a medical billing company generate more revenue at

https://www.linkedin.com/company/p3-healthcare-solutions